How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $16.60 Median $18.20 Typical High $30.90 | Facility | None | $16.60 | $18.20 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $17.78 Typical High $19.05 | Professional | None | $13.49 | $17.78 | $19.05 |
Ambetter Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | None | $12.59 | $12.59 | $12.59 |
BCBS Kansas Setting Facility Modifier None Typical Low $25.70 Median $26.92 Typical High $39.81 | Facility | None | $25.70 | $26.92 | $39.81 |
BCBS Kansas Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $11.75 Median $18.62 Typical High $39.81 | Facility | None | $11.75 | $18.62 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $28.84 Typical High $28.84 | Professional | None | $9.33 | $28.84 | $28.84 |
Medica Setting Facility Modifier None Typical Low $12.30 Median $17.78 Typical High $100.00 | Facility | None | $12.30 | $17.78 | $100.00 |
Medica Setting Professional Modifier None Typical Low $7.59 Median $10.72 Typical High $28.84 | Professional | None | $7.59 | $10.72 | $28.84 |
United Setting Facility Modifier None Typical Low $10.72 Median $17.78 Typical High $18.20 | Facility | None | $10.72 | $17.78 | $18.20 |
United Setting Professional Modifier None Typical Low $7.59 Median $10.72 Typical High $37.15 | Professional | None | $7.59 | $10.72 | $37.15 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.76 Median $8.91 Typical High $9.55 | Professional | 52 · Reduced service | $7.76 | $8.91 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.63 Typical High $3.80 | Professional | 53 · Discontinued | $3.09 | $3.63 | $3.80 |
Where Kansas sits
The same service costs 3.3 times more in Alaska than in Georgia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Kansas· 7th of 51
$25.70
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.